| NPI | 1912659061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 5227325) |
| 372600000X Adult Companion | |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-01-20 |