| NPI | 1124504147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 136A00000X Dietetic Technician, Registered |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |