| NPI | 1629821236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |