| NPI | 1659795995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R19707) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: ND R19707) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |