| NPI | 1932741816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: CO PN.0335330) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: CO 04J425) |
| Enumeration Date | 2019-10-12 |
| Last Update Date | 2019-12-20 |