| NPI | 1144838061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: WV 1820206228) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: WV 1356607394) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |