| NPI | 1164002309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MN 1103582) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251E00000X Home Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 372600000X Adult Companion | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2022-04-02 |