| NPI | 1477126472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 283776) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN LPN0000073091) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2025-10-03 |