| 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 |