| NPI | 1336393040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: VA 1401106639) |
| Additional Taxonomies | 172A00000X Driver |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |