| NPI | 1386392116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 172A00000X Driver |
| 174200000X | |
| 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 |