| NPI | 1588167787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WY 18658) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: WY 18658) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2022-07-21 |