| NPI | 1629370960 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 109447) | 
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: WI 109447) | 
| 163WC1500X Registered Nurse, Community Health (Licence: WI 109447) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: WI 109447) | |
| 163WC2100X Registered Nurse, Continence Care (Licence: WI 109447) | |
| 163WH0200X Registered Nurse, Home Health (Licence: WI 109447) | |
| Enumeration Date | 2010-11-18 | 
| Last Update Date | 2010-11-18 |