| NPI | 1740899202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: CO NA.00777765) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CO NA00777765) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |