| NPI | 1932422623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: VA 2010-234101-r) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: VA 2010-234101-r) |
| 376K00000X Nurse's Aide (Licence: VA 2010-234101-r) | |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |