| NPI | 1215044078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WY 12013) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WY 12031) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2022-07-21 |