| NPI | 1356668685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: KS 1387158071) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: KS 1387158071) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |