| NPI | 1487088068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL O87397) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 0873971) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |