| NPI | 1538306253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374700000X Technician (Licence: MO 005588) |
| Additional Taxonomies | 3747A0650X Technician Attendant Care Provider (Licence: MO 005588) |
| 3747P1801X Technician Personal Care Attendant (Licence: MO 005588) | |
| 376K00000X Nurse's Aide (Licence: MO 102032) | |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |