| NPI | 1821785080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 172A00000X Driver (Licence: NC 4474166) |
| 376K00000X Nurse's Aide (Licence: NC 177605) | |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-04-19 |