NPI | 1487443792 |
---|---|
Former Name | HOLLY MARIE KRUMME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
376J00000X Homemaker | |
Enumeration Date | 2025-05-02 |
Last Update Date | 2025-05-02 |