| NPI | 1154012136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MD A00185476) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MD A00185476) |
| 374700000X Technician (Licence: MD MT0155913) | |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-05-19 |