NPI | 1093495475 |
---|---|
Former Name | SHERMAINE DANIELLE KIDD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
374U00000X Home Health Aide | |
Enumeration Date | 2023-07-20 |
Last Update Date | 2023-07-20 |