| NPI | 1003134065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: VA 10L19808) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 10L19808) |
| 372600000X Adult Companion (Licence: VA 10L19808) | |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2010-05-13 |