NPI | 1578685186 |
---|---|
Former Name | MARVA LOUISE DYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251J00000X Nursing Care (Licence: FL RN9389778) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5157934) |
163W00000X Registered Nurse (Licence: FL RN9389778) | |
251E00000X Home Health | |
251F00000X Home Infusion | |
253Z00000X In Home Supportive Care | |
Enumeration Date | 2007-04-04 |
Last Update Date | 2017-05-03 |