| NPI | 1508230509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WI 112122) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 112122-03) |
| Enumeration Date | 2015-11-14 |
| Last Update Date | 2016-01-19 |