| NPI | 1922468412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL 272920) |
| Additional Taxonomies | 3747A0650X Technician Attendant Care Provider (Licence: FL 272920) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |