| NPI | 1205516432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 376J00000X Homemaker |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-07-21 |