| NPI | 1609594985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 568) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL pn1242581) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |