| NPI | 1629876313 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 372600000X Adult Companion |
| 376K00000X Nurse's Aide (Licence: NE 120076) | |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-06-24 |