| NPI | 1609578814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA 233204) |
| Additional Taxonomies | 251E00000X Home Health (Licence: 233204) |
| 3747P1801X Technician Personal Care Attendant (Licence: VA 1401143138) | |
| 376K00000X Nurse's Aide (Licence: VA 1401143138) | |
| 385H00000X Respite Care (Licence: VA 233204) | |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-22 |