| NPI | 1871346536 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NH 058775-24) |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-12 |