| NPI | 1730885955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251X00000X | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |