| NPI | 1376507053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WI 111478030) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 111478030) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2025-09-11 |