| NPI | 1659069938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA 27076805) |
| 164W00000X Licensed Practical Nurse (Licence: PA PN315035) | |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-05-10 |