| NPI | 1023740743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 172A00000X Driver | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2024-06-25 |