| NPI | 1790908614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR R064205) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: AR R64205) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2018-05-17 |