| NPI | 1124539101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60788071) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA CG60788071) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2018-12-13 |