| NPI | 1790227692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: NE 125151) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications (Licence: NE 125151) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |