| NPI | 1811139074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 23-762084) |
| Additional Taxonomies | 171W00000X Contractor (Licence: CA 23-762084) |
| 171WH0202X Contractor, Home Modifications (Licence: CA 23-762084) | |
| 171WV0202X Contractor, Vehicle Modifications (Licence: CA 23-762084) | |
| 172A00000X Driver (Licence: CA 23-762084) | |
| 251E00000X Home Health (Licence: CA 23-762084) | |
| 253Z00000X In Home Supportive Care (Licence: CA 23-762084) | |
| 347C00000X Private Vehicle (Licence: CA 23-762084) | |
| 372500000X Chore Provider (Licence: CA 23-762084) | |
| 372600000X Adult Companion (Licence: CA 23-762084) | |
| 374U00000X Home Health Aide (Licence: CA 23-762084) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |