| NPI | 1811397227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 401419310712) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 400487190505) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-10-23 |