| NPI | 1912266701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: WI 238955-30) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: WI 312094-31) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2018-03-07 |