| 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 |