| NPI | 1518391085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: TN 115963) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MS A070530) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |