| NPI | 1225861453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 376J00000X Homemaker | |
| 253Z00000X In Home Supportive Care | |
| 332U00000X Home Delivered Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |