NPI | 1366841363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: AK 155589) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AK 6990) |
Enumeration Date | 2014-08-15 |
Last Update Date | 2020-05-28 |