| NPI | 1467079202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN46064) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MD R055556) |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2024-06-13 |