| NPI | 1942755293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WY 29775) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: WY 29775) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2022-04-13 |