| NPI | 1205201712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: LA 1612421) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: LA 1185892) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |