| NPI | 1508530809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NC 78355) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NC 440202) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-02 |