| NPI | 1346453123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: PA 9993401) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00081172) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |