| NPI | 1285932038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MD 101104) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD 101104) |
| 164W00000X Licensed Practical Nurse (Licence: MD 101104) | |
| 374U00000X Home Health Aide (Licence: MD 101104) | |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |