| NPI | 1760861215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001113797) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: VA 0001113797) |
| 163WH0200X Registered Nurse, Home Health (Licence: VA 0001113797) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |