| NPI | 1992215289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 043133699) |
| 164W00000X Licensed Practical Nurse (Licence: MN 824688) | |
| 164X00000X Licensed Vocational Nurse (Licence: WI 325641) | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide (Licence: WI 187357) | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2023-09-27 |