| NPI | 1255963450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL PN514280) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL PN514280) |
| 174400000X Specialist (Licence: FL PN514280) | |
| 224P00000X Prosthetist (Licence: FL PN514280) | |
| 246Y00000X Spec/Tech, Health Info (Licence: FL PN514280) | |
| 251E00000X Home Health (Licence: FL PN514280f) | |
| 251F00000X Home Infusion (Licence: FL PN514280) | |
| 251J00000X Nursing Care (Licence: FL PN514280) | |
| 405300000X Prevention Professional (Licence: FL PN514280) | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |