| NPI | 1699447094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: SC 172702) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NC 554366) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-04 |