| NPI | 1306498696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 174400000X Specialist |
| 246Y00000X Spec/Tech, Health Info | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |