| NPI | 1982572152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| 164W00000X Licensed Practical Nurse (Licence: SC 54423) | |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-12-11 |