| NPI | 1710288634 |
|---|---|
| Former Name | GENICE ROSE COLORADO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: AZ CNA1000024018) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2016-03-10 |