| NPI | 1366632119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: LA 7282) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 75102) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2019-07-18 |