| NPI | 1649077025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 174200000X Meals | |
| 251T00000X PACE Provider Organization | |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-12-02 |