NPI | 1053909440 |
---|---|
Former Name | N/A N/A |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: GA CN0030022517) |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: GA CN0030022517) |
Enumeration Date | 2021-01-02 |
Last Update Date | 2022-03-22 |