| NPI | 1528518834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: IL 09712958) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: IL 0971) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |