| NPI | 1932718913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: AZ 23100429) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 790251) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2021-02-13 |