| NPI | 1497631584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: VA 0002082612) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: VA 0002082612) |
| 3747P1801X Technician Personal Care Attendant (Licence: VA 0002082612) | |
| 385H00000X Respite Care (Licence: VA 0002082612) | |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-09-02 |