| NPI | 1710376843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: AZ 2464421) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: 2464421) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2016-03-01 |