| NPI | 1114643335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: NC 34459848) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2023-02-09 |