| NPI | 1780288266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant (Licence: WV 3747P1801X) |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2023-03-02 |