| NPI | 1053154880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WV 30637) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-11-11 |