| NPI | 1932566783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| 171WV0202X Contractor, Vehicle Modifications | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-29 |