| NPI | 1659783926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 0000101366) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: TN 0000101366) |
| 163WI0500X Registered Nurse Infusion Therapy (Licence: TN 0000101366) | |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |