| NPI | 1538611132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL cna102001) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: FL 032016-21) |
| Enumeration Date | 2016-10-29 |
| Last Update Date | 2016-10-29 |