| NPI | 1811538671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: IL 043066005) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-04 |