| NPI | 1356602890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NC 270182) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: NC 270182) |
| 374U00000X Home Health Aide (Licence: NC 270182) | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |