| NPI | 1770398810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NE 13969) |
| Additional Taxonomies | 372500000X Chore Provider |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |