| NPI | 1174312391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: VA 0001211119) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: VA 0001211119) |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2026-02-04 |