| NPI | 1770039380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: WY 22024) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WY 22024) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2025-01-15 |