| NPI | 1063095107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 251T00000X PACE Provider Organization | |
| 253Z00000X In Home Supportive Care | |
| 376J00000X Homemaker | |
| 372500000X Chore Provider | |
| 174200000X | |
| 172A00000X Driver | |
| 251E00000X Home Health | |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |