| NPI | 1245657808 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: SC 209611) | 
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: SC 209611) | 
| Enumeration Date | 2014-03-20 | 
| Last Update Date | 2014-03-20 |