| NPI | 1417347147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1132950) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-08-20 |