| NPI | 1073003539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL CNA275324) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |