| NPI | 1881979532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: VA 1401133272) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: DC NA00604623) |
| 310400000X Assisted Living Facility (Licence: VA 1401133273) | |
| 310400000X Assisted Living Facility (Licence: VA 255863) | |
| 376K00000X Nurse's Aide (Licence: DC NA00604623) | |
| 376K00000X Nurse's Aide (Licence: DC 255863) | |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |