NPI | 1336765197 |
---|---|
Former Name | SHARMEIKA BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9554617) |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NY 775117) |
Enumeration Date | 2020-06-17 |
Last Update Date | 2021-08-09 |