| NPI | 1104123918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: OH S7225) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2023-08-11 |