| NPI | 1982010641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DE L2-0009882) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN279336) |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |