| NPI | 1619322385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: SC 205626) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: SC 205656) |
| 163WC1500X Registered Nurse, Community Health (Licence: SC 205656) | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |