| NPI | 1679961957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic |
| 146N00000X Emergency Medical Technician, Basic | |
| 146N00000X Emergency Medical Technician, Basic (Licence: MS E3135982) | |
| 251E00000X Home Health | |
| 372500000X Chore Provider (Licence: MS 69619) | |
| 372600000X Adult Companion (Licence: MS 69619) | |
| 3747A0650X Technician, Attendant Care Provider (Licence: MS 69619) | |
| 374U00000X Home Health Aide (Licence: MS 69619) | |
| 376K00000X Nurse's Aide (Licence: MS 69619) | |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2022-11-18 |