| NPI | 1871234906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL 293175) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD 293115) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-07 |