| NPI | 1194076919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: CO NA-00749620) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: UT UTAZ023881110) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |