NPI | 1497208250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AL 2-055526) |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: AL 16395) |
Enumeration Date | 2016-07-28 |
Last Update Date | 2022-11-15 |