NPI | 1093193070 |
---|---|
Former Name | TAKEIRA WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2013039396) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MO 2013039396) |
372600000X Adult Companion | |
3747A0650X Technician, Attendant Care Provider | |
376J00000X Homemaker | |
Enumeration Date | 2015-05-11 |
Last Update Date | 2022-01-11 |