| NPI | 1407032618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MO 2018030437) |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2024-02-02 |