| NPI | 1700417896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NV R150612A-APP) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NV R150612A-APP) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |