| NPI | 1770344673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: KS 239252) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: KS 239252) |
| 376K00000X Nurse's Aide (Licence: MO MO028592501350) | |
| 376K00000X Nurse's Aide (Licence: OK 320665400822) | |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-03-03 |