| NPI | 1114418183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: VA 1234873) |
| Additional Taxonomies | 251E00000X Home Health (Licence: VA HCO0002123) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2024-08-09 |