NPI | 1992379994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG61180820) |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA CG61180820) |
Enumeration Date | 2021-05-14 |
Last Update Date | 2021-05-14 |