| NPI | 1992224588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: WI 116073-30) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 116073-30) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2022-07-21 |