NPI | 1760520340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WI 152562030) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 152562030) |
Enumeration Date | 2007-02-03 |
Last Update Date | 2007-10-05 |