| NPI | 1164825626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate |
| 146N00000X Emergency Medical Technician, Basic | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |