| NPI | 1043997653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 171W00000X Contractor | |
| 172A00000X Driver | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 174200000X Meals | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-05 |