| NPI | 1093404782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: DC 000000000) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-07-15 |