| NPI | 1942548912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider (Licence: VA 12386) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: VA 12386) |
| 376K00000X Nurse's Aide (Licence: VA 1401125621) | |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-25 |