| NPI | 1073961769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9475538) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: FL CNA303547) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2018-09-18 |