| NPI | 1871149237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 179163-30) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 179163-30) |
| 163WH0200X Registered Nurse, Home Health (Licence: WI 17916330) | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |