| NPI | 1750009130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MO 2021030482) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |