| NPI | 1982452041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2025-02-28 |