| NPI | 1104485614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251T00000X PACE Provider Organization |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 372500000X Chore Provider | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-06-08 |
| Last Update Date | 2023-11-07 |