| NPI | 1194360834 |
|---|---|
| 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 (Licence: WA CO61022073) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2020-08-03 |