| NPI | 1518682830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: ID 51454) |
| Additional Taxonomies | 163WN1003X Registered Nurse Nutrition Support (Licence: ID 51454) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-10 |