NPI | 1609420629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: NC HC5105) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: NC HC5105) |
385H00000X Respite Care (Licence: NC HC5105) | |
Enumeration Date | 2019-07-29 |
Last Update Date | 2020-04-30 |