| NPI | 1043722838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9425054) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL RN9425054) |
| 163WH0200X Registered Nurse, Home Health (Licence: FL RN9425054) | |
| 253Z00000X In Home Supportive Care (Licence: FL RN9425054) | |
| 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL RN9425054) | |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2021-08-06 |