| NPI | 1033473004 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator | 
| Additional Taxonomies | 174400000X Specialist | 
| 1744R1102X Specialist, Research Study | |
| 284300000X Special Hospital | |
| Enumeration Date | 2012-06-25 | 
| Last Update Date | 2012-06-25 |