| NPI | 1386121648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: VA 201803280021353) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: VA 201803280021353) |
| 163W00000X Registered Nurse (Licence: VA 201803280021353) | |
| 163WH0200X Registered Nurse, Home Health (Licence: VA 201803280021353) | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |