| NPI | 1285907402 |
|---|---|
| Former Name | KATIE SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2012-02-18 |
| Last Update Date | 2023-04-27 |