| NPI | 1952020125 |
|---|---|
| Former Name | KACHINA CERISE KASPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: WV 1568796027) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-10-05 |