| 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 |