| NPI | 1154729770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0500X Registered Nurse, Hemodialysis (Licence: WI 114680) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 114680) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2016-03-10 |