| NPI | 1871128991 |
|---|---|
| Former Name | LILLIE EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |