NPI | 1194900662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RN467740) |
Enumeration Date | 2008-01-03 |
Last Update Date | 2008-01-03 |