| NPI | 1104248152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WY 48904) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60031431) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2023-02-17 |