NPI | 1497377147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: SC 51514) |
Additional Taxonomies | 251E00000X Home Health |
374U00000X Home Health Aide | |
Enumeration Date | 2020-05-15 |
Last Update Date | 2024-09-27 |