| NPI | 1588676928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ND R23744) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: ND 000079144) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |