| NPI | 1275826745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA ML61294149) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML61294149) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2022-06-13 |