| NPI | 1548921836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |