| NPI | 1154672764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: WI 296450) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL 228637) |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |