| NPI | 1922695543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: NC 211218) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 163W00000X Registered Nurse (Licence: NC 211218) | |
| 163WA2000X Registered Nurse Administrator (Licence: NC 211218) | |
| 163WW0000X Registered Nurse Wound Care (Licence: NC 211218) | |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2021-01-28 |