| NPI | 1366834343 |
|---|---|
| Former Name | MARLA JEAN MCCUTCHEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: PA 10065352) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: NY 159420-1) |
| 376K00000X Nurse's Aide (Licence: OH 401633600414) | |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-03-06 |