| NPI | 1063720118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: NC 347540) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 624606) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2025-04-17 |