| NPI | 1588821920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: FL 1318542) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: FL 1318542) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |