| NPI | 1831065556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: NC 556630) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: NC 556630) |
| 376K00000X Nurse's Aide (Licence: NC 556630) | |
| Enumeration Date | 2025-10-11 |
| Last Update Date | 2025-12-25 |