| NPI | 1215107974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: MS 00422545) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: MS 01473740) |
| Enumeration Date | 2008-03-09 |
| Last Update Date | 2008-03-09 |