NPI | 1386117448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: FL RN9346398) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN222884) |
Enumeration Date | 2019-01-10 |
Last Update Date | 2019-01-10 |