| NPI | 1740422971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: DC NA00602119) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: VA 1401097833) |
| 376K00000X Nurse's Aide (Licence: MD A00060267) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-05-24 |