| NPI | 1811611049 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: PR 98722) |
| 174H00000X Health Educator | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-10-10 |