| NPI | 1629696711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NC 53253) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |