| NPI | 1417195611 |
|---|---|
| Former Name | JACLYN BURDAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2018-03-17 |