| NPI | 1679056642 |
|---|---|
| Former Name | DJENABOU DIALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NY 9190l001) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: NY K5Q8B9A) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |