| NPI | 1174355697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| 172A00000X Driver (Licence: PA 23838764) | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-21 |