| NPI | 1437712916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 27068409A) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 364SH0200X Clinical Nurse Specialist, Home Health (Licence: IN 27068409A) | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-04-19 |