| NPI | 1538032511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 171M00000X Case Manager/Care Coordinator | |
| 177F00000X Lodging | |
| 172A00000X Driver | |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-10-25 |