| NPI | 1124678107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC 199339) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 199339) |
| 163WC1500X Registered Nurse Community Health (Licence: NC 199339) | |
| 251J00000X Nursing Care | |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| 3747A0650X Technician Attendant Care Provider | |
| 3747P1801X Technician Personal Care Attendant | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 372500000X Chore Provider | |
| 376K00000X Nurse's Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2024-09-12 |