NPI | 1932736576 |
---|---|
Former Name | JUDITH JUMMAI BARRAH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9616914) |
164W00000X Licensed Practical Nurse (Licence: TX 344795) | |
Enumeration Date | 2020-03-24 |
Last Update Date | 2023-05-19 |