| NPI | 1396291266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 172A00000X Driver |
| 347C00000X Private Vehicle | |
| 251E00000X Home Health | |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |