| NPI | 1063178820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MD R107452) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MD R107452) |
| 163WC1500X Registered Nurse, Community Health (Licence: MD R107452) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: MD R107452) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: MD R107452) | |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2021-11-29 |