| NPI | 1124789946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: NC 296338) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 296338) |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-04 |