| NPI | 1104638527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NC 584589) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NC 533893) |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |