| NPI | 1275000564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA NA60770776) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NA60770776) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-12-20 |