| NPI | 1003412305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2026-04-06 |