| NPI | 1386966117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR 310968) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: AR 310968) |
| 171M00000X Case Manager/Care Coordinator (Licence: AR 310968) | |
| Enumeration Date | 2010-02-21 |
| Last Update Date | 2010-03-22 |