NPI | 1023268034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 376K00000X Nurse's Aide (Licence: VA 1401125914) |
Additional Taxonomies | 374700000X Technician |
3747A0650X Technician, Attendant Care Provider | |
3747A0650X Technician, Attendant Care Provider (Licence: VA 1401125914) | |
374U00000X Home Health Aide | |
Enumeration Date | 2008-09-26 |
Last Update Date | 2025-01-05 |