| NPI | 1740658152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 172A00000X Driver (Licence: CO 970221188) |
| 376J00000X Homemaker | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2016-06-03 |