| NPI | 1801414982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 163W00000X Registered Nurse (Licence: CA 793108) | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-09-23 |