| NPI | 1659340842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: WI 129143 - 030) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 129143 - 030) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2007-07-09 |