| NPI | 1063957520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5188964) |
| Additional Taxonomies | 372600000X Adult Companion |
| 376J00000X Homemaker | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2018-08-27 |