| NPI | 1104180850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WY 19148) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: WY 19148) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |