| NPI | 1720596869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: NV 1203895776) |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2019-01-04 |