| 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 |