| NPI | 1659836922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: FL 9655980) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9655980) |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2025-05-20 |