NPI | 1316189616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WI 53062-030) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 53062-030) |
Enumeration Date | 2009-04-01 |
Last Update Date | 2009-04-01 |