NPI | 1558964171 |
---|---|
Former Name | ELVIRA DOVGOROUKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MO 63855) |
385H00000X Respite Care | |
Enumeration Date | 2020-11-17 |
Last Update Date | 2024-04-29 |