| NPI | 1588965123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 376G00000X Nursing Home Administrator | |
| Enumeration Date | 2010-11-13 |
| Last Update Date | 2014-07-07 |