| NPI | 1215714803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: GA cn0000027740) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: KY 4008082) |
| 376K00000X Nurse's Aide (Licence: WV 107567) | |
| 376K00000X Nurse's Aide (Licence: ME CNA102018) | |
| 376K00000X Nurse's Aide (Licence: OK 320748310823) | |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |