NPI | 1124789888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: PA RN548907) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN548907) |
Enumeration Date | 2022-01-05 |
Last Update Date | 2022-01-05 |