| NPI | 1548886690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: CO NA.00790148) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: NA.00790148) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |