| NPI | 1205689809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider (Licence: SC IHCP-2122) |
| Additional Taxonomies | 3747A0650X Technician Attendant Care Provider |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |