| NPI | 1568191534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MD R5109) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MD R5109) |
| 374U00000X Home Health Aide (Licence: MD R5109) | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-06 |