| NPI | 1093298291 |
|---|---|
| Former Name | SIA MOMORIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN5174791) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-19 |