| NPI | 1962094656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: WV 79796) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: VA 1401206170) |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-02-04 |