| NPI | 1154969483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: FL 103324800) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |