NPI | 1366922445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AL 2-062592) |
376K00000X Nurse's Aide | |
Enumeration Date | 2018-08-17 |
Last Update Date | 2018-08-17 |