| NPI | 1073236071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9524900) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: FL RN9524900) |
| 163WR0400X Registered Nurse Rehabilitation (Licence: FL RN9524900) | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2022-09-23 |