| NPI | 1902182447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL cna 248500) |
| 374700000X Technician (Licence: FL fb 9721679) | |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2018-06-01 |