| NPI | 1184309601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 9403876) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: FL 9403876) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |