| NPI | 1962801936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 141487900) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 2920) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-16 |