| NPI | 1659562254 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MI 4704205895)  | 
| Additional Taxonomies | 163WC2100X Registered Nurse, Continence Care (Licence: MI 4704205895)  | 
| 163WG0600X Registered Nurse, Gerontology (Licence: MI 4704205895)  | |
| 163WH0200X Registered Nurse, Home Health (Licence: MI 4704205895)  | |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: MI 4704205895)  | |
| 163WW0000X Registered Nurse, Wound Care (Licence: MI 4704205895)  | |
| Enumeration Date | 2007-08-08 | 
| Last Update Date | 2008-04-16 |