| NPI | 1548884133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2020-05-30 |
| Last Update Date | 2020-05-30 |