| NPI | 1053981803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 172A00000X Driver |
| 174H00000X Health Educator | |
| 282E00000X | |
| 283X00000X Rehabilitation Hospital | |
| 286500000X Military Hospital | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |