| NPI | 1073102422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: TN 236469) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 236469) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-06-05 |