| NPI | 1083075220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL CNA147782) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: KY 50175752) |
| 376K00000X Nurse's Aide (Licence: OH 322212421103) | |
| 376K00000X Nurse's Aide (Licence: GA CNA14178582) | |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |