| NPI | 1740065887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 3747A0650X Technician Attendant Care Provider | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |