| NPI | 1154733830 |
|---|---|
| Former Name | DEMETRIA S FULLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001211714) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: VA HCO-251653) |
| 164W00000X Licensed Practical Nurse (Licence: VA HCO-251653) | |
| 251E00000X Home Health (Licence: VA HCO-251653) | |
| 251J00000X Nursing Care (Licence: VA HCO-251653) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: VA HCO-251653) | |
| 385H00000X Respite Care (Licence: VA HCO-251653) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2023-08-06 |