| NPI | 1649540261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28093654A) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: IN 28093654A) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |