| NPI | 1154554723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: GA 1077-0437) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: GA 23297) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-08-31 |