NPI | 1083133771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: MO 2005024694) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2005024694) |
Enumeration Date | 2017-09-13 |
Last Update Date | 2022-04-06 |