| NPI | 1558817841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL 234401) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 210676) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: FL 234401) | |
| 164W00000X Licensed Practical Nurse (Licence: FL 234401) | |
| 372600000X Adult Companion (Licence: FL 234401) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 23) | |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |