NPI | 1710199286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: NM R30216) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NM R30216) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2007-07-08 |