| NPI | 1114300555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MI 6801104534) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2019-07-03 |