| NPI | 1215705637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| 374U00000X Home Health Aide | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2026-02-18 |