| NPI | 1770044075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 247200000X Technician, Other (Licence: SC 34892) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: SC 550335) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |