| NPI | 1750962791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: KY 2021774P) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: KY 2021774P) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-07-23 |