| NPI | 1104477439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CT CT091303632E) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |