| NPI | 1780911750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NC 121804) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NC 121804) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2010-07-13 |