| NPI | 1952168668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NC 52873) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 174H00000X Health Educator | |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-02-29 |