| NPI | 1750912457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver (Licence: IA 184GG2144) |
| Additional Taxonomies | 372600000X Adult Companion |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-01-31 |