| NPI | 1740452879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: WI 83189-30) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 3746-120) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |