| NPI | 1285210708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: AZ Wb4461) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: AZ Wb4460) |
| 164W00000X Licensed Practical Nurse (Licence: AZ LNA1000031276) | |
| 261QC1800X Clinic/Center, Corporate Health (Licence: AZ 26355517) | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |