| NPI | 1598299778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: CA CPT121521) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications (Licence: CA CPT21521) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |