| NPI | 1780306506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NC 085772) |
| 171W00000X Contractor | |
| 376G00000X Nursing Home Administrator | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |