| NPI | 1922773241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: IN 15D2275815) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: IN 21-015355-1) |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 3747A0650X Technician Attendant Care Provider | |
| 374U00000X Home Health Aide (Licence: IN 000657) | |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2023-04-24 |