NPI | 1770039380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: WY 22024) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WY 22024) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2025-01-15 |