NPI | 1518658046 |
---|---|
Former Name | SHANLEY MARIE FURNESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: TX 43409107) |
Enumeration Date | 2023-05-16 |
Last Update Date | 2023-05-16 |