| NPI | 1649557760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OR 201130023) |
| 164X00000X Licensed Vocational Nurse (Licence: CA VN271169) | |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2024-04-23 |