| NPI | 1962168120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse Case Management (Licence: VA 0001217785) |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2024-05-15 |