| NPI | 1689963795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 400222980303) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: GA cn0028853224) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-03-30 |