| NPI | 1942567953 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201043509RN)  | 
| Enumeration Date | 2012-04-13 | 
| Last Update Date | 2012-04-16 |