| NPI | 1386931582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: VA 1401141734) |
| Additional Taxonomies | 374700000X Technician (Licence: VA 0031005140) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-26 |