| NPI | 1114455813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: FL RN9366496) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: FL 234784) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-07-21 |