| NPI | 1154293314 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 376J00000X Homemaker | 
| Additional Taxonomies | 172A00000X Driver | 
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2025-09-18 | 
| Last Update Date | 2025-09-18 |