NPI | 1568064038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 172A00000X Driver |
347C00000X Private Vehicle | |
374U00000X Home Health Aide | |
Enumeration Date | 2020-11-10 |
Last Update Date | 2020-11-10 |