| NPI | 1215695598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: PA PN312082) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: PA PN312082) |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2021-12-03 |