| NPI | 1124711916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 172A00000X Driver |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-30 |