| NPI | 1861859001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: GA CN0030028513) |
| Additional Taxonomies | 374700000X Technician (Licence: GA Z5D4R7M9) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |