| NPI | 1659940732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: SC 49146) |
| Additional Taxonomies | 174200000X |
| 171M00000X Case Manager/Care Coordinator | |
| 251E00000X Home Health | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2021-06-24 |