| NPI | 1750806758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376G00000X Nursing Home Administrator |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 3747A0650X Technician Attendant Care Provider | |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2022-07-21 |