NPI | 1235862038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MD LP52924) |
Additional Taxonomies | 172V00000X Community Health Worker |
3747A0650X Technician, Attendant Care Provider | |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2022-07-08 |
Last Update Date | 2022-07-08 |