NPI | 1023241502 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA 47573) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA 47573) |
Enumeration Date | 2009-08-31 |
Last Update Date | 2011-01-04 |