| NPI | 1285930818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 132870-30) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: WI 132870-30) |
| 163WH0200X Registered Nurse, Home Health (Licence: WI 132870-30) | |
| Enumeration Date | 2011-01-29 |
| Last Update Date | 2011-02-01 |