| NPI | 1114151768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: DE DE 00019470109) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: PA 9965050) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |