| NPI | 1366306508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R143000) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MD R143000) |
| 163WC0400X Registered Nurse, Case Management (Licence: MD R143000) | |
| 163WC1500X Registered Nurse, Community Health (Licence: MD R143000) | |
| 163WG0600X Registered Nurse, Gerontology (Licence: MD R143000) | |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: MD R143000) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: MD R143000) | |
| Enumeration Date | 2025-12-11 |
| Last Update Date | 2025-12-11 |