| NPI | 1083974075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MD R231931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R231931) |
| 163WH0200X Registered Nurse, Home Health (Licence: MD R231931) | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2021-10-26 |