| NPI | 1205657376 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WA 00168287) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: AZ 168119) |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |