| NPI | 1083042279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1236456) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 1236456) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-11-02 |