| NPI | 1982855904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WY 18151) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |