| NPI | 1114796075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: WA NC.61411238) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: LA 135351) |
| 376K00000X Nurse's Aide (Licence: ND 101435) | |
| 376K00000X Nurse's Aide (Licence: IA 342934) | |
| 376K00000X Nurse's Aide (Licence: ME CNA97614) | |
| 376K00000X Nurse's Aide (Licence: ID IDLA0040439E) | |
| 376K00000X Nurse's Aide (Licence: MO M0027130202169) | |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |