NPI | 1134782923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: AL 1-123899) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN-9305415) |
172V00000X Community Health Worker (Licence: AL 1-123899) | |
Enumeration Date | 2019-04-17 |
Last Update Date | 2019-04-17 |