| NPI | 1104225200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: AZ 376K00000X) |
| Additional Taxonomies | 374700000X Technician (Licence: AZ 374700000X) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |