NPI | 1588469837 |
---|---|
Former Name | SHELLEY ANN GILLILAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
Additional Taxonomies | 372500000X Chore Provider |
Enumeration Date | 2025-02-19 |
Last Update Date | 2025-02-19 |