| NPI | 1508308628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: FL RN9482726) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5159539) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2019-02-13 |