| NPI | 1164987764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 171WH0202X Contractor, Home Modifications | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2025-11-03 |