| NPI | 1033716337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 376J00000X Homemaker |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2026-04-17 |