| NPI | 1356755938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: WI 200567-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 200567-30) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |