| NPI | 1467053710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |