| NPI | 1770767030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care (Licence: MS 385H00000X) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: MS 343900000X) |
| 376J00000X Homemaker (Licence: MS 376J00000X) | |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2021-01-22 |