| NPI | 1174128953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 347C00000X Private Vehicle | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |