| NPI | 1134463177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 252297) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NC 252297) |
| 163WG0000X Registered Nurse, General Practice (Licence: NC 252297) | |
| 163WH0200X Registered Nurse, Home Health (Licence: NC 252297) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |