| NPI | 1346596772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: MO X01222560) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MO 145100) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2020-02-14 |