| NPI | 1215575386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: 236387) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: FL 236387) |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |