| NPI | 1407651268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| 171W00000X Contractor | |
| 372500000X Chore Provider | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |