| NPI | 1356650758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001223288) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MD AC000790) |
| Enumeration Date | 2010-10-02 |
| Last Update Date | 2010-10-02 |