| NPI | 1104569086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: ND 64797) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-04-18 |