| NPI | 1548634157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9419981) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL RN9419981) |
| 163WC1500X Registered Nurse, Community Health (Licence: FL RN9419981) | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2016-08-15 |