| NPI | 1538894035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: GA 0030032480) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 2976948) |
| 163WH0200X Registered Nurse Home Health (Licence: GA 2976948) | |
| 163WH1000X Registered Nurse Hospice (Licence: GA 2976948) | |
| 374700000X Technician (Licence: GA 0030032480) | |
| 3747A0650X Technician Attendant Care Provider (Licence: GA 0030032480) | |
| 3747P1801X Technician Personal Care Attendant (Licence: GA 0030032480) | |
| 376K00000X Nurse's Aide (Licence: GA 0030032480) | |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |