| NPI | 1184339533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MO 2021036978) |
| 376K00000X Nurse's Aide (Licence: MO 141824) | |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-05-02 |