| NPI | 1881967701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: KY 50167631) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: KY 50167631) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |