| NPI | 1295137305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WI 198698-30) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: WI 198698-30) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |