| NPI | 1164658530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: VT 0260024128) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: MI 5080710) |
| Enumeration Date | 2009-05-30 |
| Last Update Date | 2009-05-30 |