| 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 |