| NPI | 1407249527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: VA 1401170073) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401668280714) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |