| NPI | 1689337693 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: FL 9439288) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: FL 9439288) |
| Enumeration Date | 2021-10-17 |
| Last Update Date | 2021-10-17 |