| NPI | 1801601042 |
|---|---|
| Former Name | FAWN RADER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NE 124326) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |