| NPI | 1356632038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN3255902) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: MN 00078598) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |