NPI | 1487400909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R267627) |
Additional Taxonomies | 251E00000X Home Health (Licence: MD RSA-01653) |
Enumeration Date | 2024-04-25 |
Last Update Date | 2025-06-25 |