| NPI | 1740552389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 15741030) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: WI 15741030) |
| Enumeration Date | 2012-01-28 |
| Last Update Date | 2012-01-28 |