| NPI | 1558645929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: AK 10513) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: AK 08140011) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |