NPI | 1235534744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WI 1234565658) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 169311) |
Enumeration Date | 2014-10-27 |
Last Update Date | 2017-01-31 |