| NPI | 1750193744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: WI 312997-31) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-01-25 |
| Last Update Date | 2025-01-25 |