| NPI | 1669351995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: MI S163974847604) |
| Enumeration Date | 2025-08-30 |
| Last Update Date | 2025-09-11 |