| NPI | 1740476530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NC 252453) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: NC 29830284) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2007-09-14 |