| NPI | 1508469750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MA 256812) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2020-11-19 |