NPI | 1619544970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 376J00000X Homemaker |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
172A00000X Driver | |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2021-06-07 |
Last Update Date | 2021-06-07 |