NPI | 1275934689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: FL RN9239238) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL RN9239238) |
Enumeration Date | 2014-09-05 |
Last Update Date | 2024-02-09 |