NPI | 1780302604 |
---|---|
Other Name | GWYN ROSE WALKER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 374U00000X Home Health Aide |
Enumeration Date | 2022-08-17 |
Last Update Date | 2022-08-17 |