| NPI | 1124309620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: IN 0902800) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: IN 1003031) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |