| NPI | 1871052944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: WI P6305138483609) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2022-06-13 |