NPI | 1316196660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker (Licence: FL 693498696) |
Additional Taxonomies | 376J00000X Homemaker (Licence: FL 230649) |
376K00000X Nurse's Aide (Licence: FL CNA18424) | |
Enumeration Date | 2008-09-11 |
Last Update Date | 2008-09-11 |