| NPI | 1548364664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: KS 128615) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: KS 128615) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2007-07-08 |