| NPI | 1790102440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: CA 572824) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT MTRN32610) |
| 163WC0400X Registered Nurse, Case Management (Licence: MO 2006029133) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NC 231366) | |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-25 |