| NPI | 1669748935 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: PR 010445)  | 
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: PR 010445)  | 
| Enumeration Date | 2012-03-30 | 
| Last Update Date | 2012-03-30 |