| NPI | 1720791163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: NJ HP0344200) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NJ HP0344200) |
| 374U00000X Home Health Aide (Licence: NJ HP0344200) | |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2022-12-30 |