| NPI | 1225257868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: PA NA9938350) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: DE NA 0191583) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |