| NPI | 1104635994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 347E00000X Transportation Broker |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |