| NPI | 1669987236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: NC 210120) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: NC 210120) |
| 163WI0500X Registered Nurse Infusion Therapy (Licence: NC 210120) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NC 210120) | |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2018-03-17 |