| NPI | 1497357438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 171W00000X Contractor |
| 172A00000X Driver | |
| 172V00000X Community Health Worker | |
| 251X00000X Supports Brokerage | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |