| NPI | 1912506841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: DC NA0000801458) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00035287) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |