| NPI | 1497549539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 601635180523) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: KY 4028764) |
| Enumeration Date | 2025-04-05 |
| Last Update Date | 2025-04-05 |