| NPI | 1114176492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 146475-030) |
| Additional Taxonomies | 2278H0200X Respiratory Therapist, Certified, Home Health (Licence: WI 146475-030) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |