| NPI | 1568285682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 202K00000X Phlebology (Licence: FL G0592009550201) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL G0592009550201) |
| 376K00000X Nurse's Aide (Licence: FL 445455) | |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |