| NPI | 1902618721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: GA CN0030098017) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA n7a4t4x8) |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2026-02-13 |