| NPI | 1487247011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 155475) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TN 155475) |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2023-07-21 |