| NPI | 1033805593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: 3651861) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 3651861) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |