| NPI | 1770241333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OK 320573310520) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00079277) |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-01 |