| NPI | 1023233806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 104423) |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: IA 104423) |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: IA 104423) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-09 |