| NPI | 1205572948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: MD R212931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R212931) |
| 163WH0200X Registered Nurse, Home Health (Licence: MD R212931) | |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-05-13 |