| NPI | 1619426640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 123205) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 123205) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2021-08-17 |