| NPI | 1144780560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse Ambulatory Care (Licence: WY 29409) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: WY 29409) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |