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 |