| NPI | 1609241298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: LA 108595) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2018-09-04 |