| NPI | 1023551884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: SC P45203) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) |
| 172V00000X Community Health Worker | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |