| NPI | 1720419971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: OR 201141784RN) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WA RN60338160) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |