| NPI | 1164008652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R196084) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MD R4797) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |