| NPI | 1740781459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: 0221201853024) |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-03-08 |