| NPI | 1871835751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN1044230) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC 1044230) |
| 163WH0200X Registered Nurse, Home Health (Licence: MD 163WH0200X) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2023-08-22 |