| NPI | 1740896729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: VA 0001157536) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 374U00000X Home Health Aide (Licence: VA 0001157536) | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-10-29 |