| NPI | 1366685224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OR 200812222CNA) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CO 712721) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |