| NPI | 1245210939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001137567) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: VA 0001137567) |
| 163WC0400X Registered Nurse, Case Management (Licence: VA 0001137567) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2016-03-24 |