| NPI | 1679853154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NH 038239-24) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 064431-21) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2011-08-28 |