| NPI | 1629324413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WI 176627-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 17662730) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-09-12 |