| NPI | 1114745213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: VA 1401223468) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NC 98243) |
| 376K00000X Nurse's Aide (Licence: NC 546849) | |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |