| NPI | 1063235372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 172A00000X Driver (Licence: ND BAL866497) |
| 372500000X Chore Provider | |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2024-11-05 |