| NPI | 1336612951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 1059541) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-10 |