| NPI | 1528714805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: NC HC6202) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: NC HC6206) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-02-25 |