| NPI | 1477743540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: VA 1401036742) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: VA 1401036742) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |