| NPI | 1780288001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: MS 3536372) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: MS m5039372) |
| 224ZR0403X Occupational Therapy Assistant, Driving and Community Mobility (Licence: MS 3536372) | |
| Enumeration Date | 2020-11-27 |
| Last Update Date | 2021-02-12 |