| NPI | 1023354719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA 1249913) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001196736) |
| 253J00000X Foster Care Agency (Licence: 0001196736) | |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |