| NPI | 1982783098 |
|---|---|
| Former Name | JUDITH ILACQUA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| 225100000X Physical Therapist (Licence: NH 844) | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2019-09-27 |