NPI | 1225485931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL CNA175604) |
Additional Taxonomies | 374U00000X Home Health Aide |
376K00000X Nurse's Aide (Licence: PA 9301849) | |
390200000X Student in an Organized Health Care Education/Training Program | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-23 |
Last Update Date | 2020-12-05 |