| NPI | 1770312670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: LA 20120114) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-11-22 |