| NPI | 1356580112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: NY 010114-1) |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NY 010114-1) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |