| NPI | 1568664050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 143688-030) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 143688-030) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-07-09 |