| NPI | 1114796596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 376K00000X Nurse's Aide | |
| 172A00000X Driver | |
| 172V00000X Community Health Worker | |
| 174200000X Meals | |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |