| NPI | 1518712314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NC 6952) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NC 108946) |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |