| NPI | 1912666108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372500000X Chore Provider (Licence: NE 86862439) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: NE 45876737) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |