| NPI | 1164912259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: IL 3001568) |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider (Licence: IL 30015868) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |