| NPI | 1538892377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: FL 238476) |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant (Licence: FL 238476) |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2023-09-05 |