| NPI | 1548749203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MO 2001005289) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2019-08-30 |