| NPI | 1255564639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: CO 3747P1801X) |
| 376J00000X Homemaker (Licence: CO 376J00000X) | |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2022-10-20 |