| NPI | 1255297107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: MT0182209) |
| Additional Taxonomies | 171W00000X Contractor (Licence: MD MTO82209) |
| Enumeration Date | 2026-01-05 |
| Last Update Date | 2026-01-05 |