| NPI | 1558012039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MD A00188482) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: DE DENC0014343E) |
| 376K00000X Nurse's Aide (Licence: NC 492988) | |
| Enumeration Date | 2022-01-15 |
| Last Update Date | 2022-01-15 |