| NPI | 1386392116 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 251E00000X Home Health | 
| Additional Taxonomies | 172A00000X Driver | 
| 174200000X Meals | |
| 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: AL 222197)  | |
| 372500000X Chore Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2022-03-10 | 
| Last Update Date | 2022-03-10 |