NPI | 1992369490 |
---|---|
Former Name | N/A N/A N/A |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MA CNA-125452) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-04-30 |
Last Update Date | 2022-08-29 |