| NPI | 1760912331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NV 826590) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-02-12 |