| NPI | 1104712314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 172A00000X Driver (Licence: OH UQ610813) |
| 376J00000X Homemaker | |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2025-06-16 |