| NPI | 1619531936 |
|---|---|
| Former Name | ILEHA CLARK ROBINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251T00000X PACE Provider Organization |
| Additional Taxonomies | 372500000X Chore Provider |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-05-03 |