| NPI | 1649744087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WI 113084-30) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WI 113084-30) |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |