| NPI | 1336270792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WI 63542-030) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: WI 63542-030) |
| 163WN0003X Registered Nurse, Neonatal, Low-Risk (Licence: WI 63542-030) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-09 |