| NPI | 1629819677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R190048) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MD R190048) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |