| NPI | 1083162887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MD 9611) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD 29938) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-11-01 |