| NPI | 1568940179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: WI 165192) |
| 163WH0200X Registered Nurse Home Health (Licence: WI 165192) | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |