| NPI | 1093091076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NY 342903691209E) |
| Additional Taxonomies | 374700000X Technician (Licence: NY 1211-7744) |
| Enumeration Date | 2011-10-23 |
| Last Update Date | 2011-10-23 |