| NPI | 1053909614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: ND 00010) |
| 3747P1801X Technician, Personal Care Attendant (Licence: ND 00039) | |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-01-21 |