| 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 |