| NPI | 1841290673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: NC 166378) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: NC 166378) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2007-07-08 |