| NPI | 1104209543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 372600000X Adult Companion |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-29 |