| NPI | 1437669587 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: KS 146497) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: KS 146497) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2018-06-16 |