| NPI | 1043855687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: VA HCO-202031) |
| Additional Taxonomies | 172A00000X Driver (Licence: VA HCO-202031) |
| 3747P1801X Technician, Personal Care Attendant (Licence: VA HCO-202031) | |
| 376J00000X Homemaker (Licence: VA HCO-202031) | |
| 376K00000X Nurse's Aide (Licence: VA HCO-202031) | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |