| NPI | 1437463932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WY 23618) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: WY 23618) |
| 163WH0200X Registered Nurse Home Health (Licence: WY 23618) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2019-12-04 |