| NPI | 1164072971 |
|---|---|
| Former Name | JOANNA MARIE OPOLKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2020-01-13 |