| 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 |