| NPI | 1275312969 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: AL 1-060405) | 
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: AL 1-060405) | 
| 163WX1500X Registered Nurse, Ostomy Care (Licence: AL 1-060405) | |
| Enumeration Date | 2023-09-22 | 
| Last Update Date | 2023-09-27 |