| NPI | 1700659091 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant | 
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider | 
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-10-30 | 
| Last Update Date | 2023-10-30 |