| NPI | 1164694345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: IN 48-01-04-05216) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2024-09-25 |