| NPI | 1922655877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: MD CNA20193478) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: MD CNA20193478) |
| 376K00000X Nurse's Aide (Licence: MD CNA20193478) | |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |