| NPI | 1457025991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MN 10638827) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WI 253199) |
| 376K00000X Nurse's Aide (Licence: MT 368566) | |
| 376K00000X Nurse's Aide (Licence: NM NMMN222369776R) | |
| Enumeration Date | 2021-08-08 |
| Last Update Date | 2021-08-08 |