| NPI | 1598544199 |
|---|---|
| Former Name | CARLEEN GLORIA ROANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: DC 36343) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-26 |