NPI | 1578900734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: ID N-10198) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: ID N-10198) |
Enumeration Date | 2013-05-29 |
Last Update Date | 2013-05-29 |