| NPI | 1841863404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: DC A00194373) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00194373) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |