| NPI | 1548050560 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV 845983) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NV 845983) |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |