| NPI | 1104331875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: FL 000469500) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: FL 000469500) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |