| NPI | 1215762562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NC 102864) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NC 574757) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-14 |