| NPI | 1184020125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MN 222867-3) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 000000000219781) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |