| NPI | 1427680099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MI 5502006112) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |