| NPI | 1134864713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: FL 9429272) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9429272) |
| 374U00000X Home Health Aide (Licence: FL 9429272) | |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |