NPI | 1306485883 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: DE L1-0049383) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: PA RN682083) |
Enumeration Date | 2019-12-31 |
Last Update Date | 2021-09-30 |