NPI | 1780282996 |
---|---|
Former Name | CHARITY LEE WINTERROWD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: WV 1568796027) |
Additional Taxonomies | 376J00000X Homemaker (Licence: WV 12568796027) |
Enumeration Date | 2020-10-12 |
Last Update Date | 2021-12-22 |