| NPI | 1811658388 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: WV Na) | 
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant | 
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2022-01-06 | 
| Last Update Date | 2024-09-16 |