| NPI | 1215319488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: AL 2-058533) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AL 2-058533) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |