| NPI | 1356612386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171WV0202X Contractor, Vehicle Modifications |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |