| NPI | 1558617365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: OR 201170001CNS) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: OR 201170001CNS) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |