NPI | 1295088540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NH 036927-21) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 158123) |
Enumeration Date | 2012-10-24 |
Last Update Date | 2012-10-24 |