| NPI | 1790341717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 172A00000X Driver |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 3747A0650X Technician Attendant Care Provider | |
| 374K00000X Religious Nonmedical Practitioner | |
| 374T00000X Religious Nonmedical Nursing Personnel | |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |