| NPI | 1558952176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-02-25 |