| NPI | 1871123224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant (Licence: GA PHCP010397) |
| Additional Taxonomies | 3747A0650X Technician Attendant Care Provider (Licence: GA PHCP010397) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |