| NPI | 1568151538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle | |
| 172A00000X Driver | |
| 261QA0600X Clinic/Center Adult Day Care | |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-05 |