| NPI | 1740678960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: TN 0000000565) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: TN 0000000565) |
| 372600000X Adult Companion (Licence: TN 0000000565) | |
| 3747A0650X Technician, Attendant Care Provider (Licence: TN 0000000565) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: TN 0000000565) | |
| 376G00000X Nursing Home Administrator (Licence: TN 0000000565) | |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |