| NPI | 1861388399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: WA WDL65B25113B) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: WA 60844436) |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |