| NPI | 1003821455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: WY 13666) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-09-06 |