| NPI | 1578943957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: DC 809690) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD CNA20152028) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |