| NPI | 1518036680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 142167-30) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 142167-30) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-09 |