| NPI | 1205473683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 374700000X Technician (Licence: MD MT0129579) | |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2023-11-04 |