| NPI | 1639877400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: OH op.005815-sc) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-03-03 |