| NPI | 1689930885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 172012-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 172953-9R-) |
| 163WC0400X Registered Nurse, Case Management (Licence: IA 130220) | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |