| NPI | 1699929869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WY 16660) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WY 16660) |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: WY 16660) | |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |