NPI | 1144579400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH1000X Registered Nurse, Hospice (Licence: MS R875079) |
Additional Taxonomies | 376J00000X Homemaker |
163WA2000X Registered Nurse, Administrator (Licence: MS R875079) | |
261QA0600X Clinic/Center, Adult Day Care | |
Enumeration Date | 2012-09-02 |
Last Update Date | 2014-01-20 |