| NPI | 1164139432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: FL 30212294) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: FL RN9422161) |
| 163WH0200X Registered Nurse, Home Health (Licence: FL 30212294) | |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-09 |