| NPI | 1962471839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: WI 81588) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 81588) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |