| NPI | 1073363065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 171W00000X Contractor |
| 171WV0202X Contractor, Vehicle Modifications | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2025-07-18 |