| NPI | 1417617549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: ND L17621) |
| 164W00000X Licensed Practical Nurse (Licence: MN 772100) | |
| 376J00000X Homemaker | |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2021-12-31 |