| NPI | 1053035055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-05 |