| NPI | 1902475148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MD A00194374) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD a0019474) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-06-22 |