| NPI | 1972922458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 096865) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: IA 096865) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: IA 096865) | |
| 163WH0200X Registered Nurse, Home Health (Licence: IA 096865) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: IA 096865) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |