| NPI | 1689812034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OR 200710022cna) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA nc10089902) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |