| NPI | 1679900112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NH 067228-21) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: NH 049744-24) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |