| NPI | 1053830208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: VA 0001271490) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: VA 0001271490) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2022-07-21 |