| NPI | 1639830086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |