| NPI | 1053526475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 49287 - 030) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 49287-030) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-07-09 |