| NPI | 1376438341 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH1000X Registered Nurse Hospice (Licence: NC 225638) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: NC 225638) |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |