NPI | 1992378186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171W00000X Contractor (Licence: LA 86-3845506) |
Additional Taxonomies | 171000000X Military Health Care Provider (Licence: LA 86-3845506) |
374U00000X Home Health Aide (Licence: LA 86-3845506) | |
Enumeration Date | 2021-07-23 |
Last Update Date | 2021-08-05 |