| NPI | 1376891168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: MD A00100025) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: MD MT0062918) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |