| NPI | 1215468913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 00000000000000) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 00000000000000) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |