NPI | 1902305188 |
---|---|
Other Name | ANTONIA BRINEE THACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 712190) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-02-02 |
Last Update Date | 2024-09-17 |