| NPI | 1063964104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 174H00000X Health Educator (Licence: NY 4141601) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2024-01-24 |