| NPI | 1679060958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 172A00000X Driver |
| 225700000X Massage Therapist (Licence: UT 9824693-4701) | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2018-04-22 |
| Last Update Date | 2025-12-04 |