NPI | 1225572951 |
---|---|
Former Name | BREANNE CRUDELE |
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 |
Enumeration Date | 2016-12-14 |
Last Update Date | 2020-09-01 |