| NPI | 1205381928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA 109222) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: LA 109222) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |