| NPI | 1285122952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: FL 6906944) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: FL 6906944) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2019-03-15 |