| NPI | 1932979895 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: FL 45949-167-640-8025) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: FL m220160757470) |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-03 |