| NPI | 1063743680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: FL RN1667272) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL RN1667272) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |