| NPI | 1750976379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MI MI000015302) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MI 000015302) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |