| NPI | 1295064632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WI 84552) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WI 84552) |
| 163WG0000X Registered Nurse, General Practice (Licence: WI 84552) | |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |