| NPI | 1417649138 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: UT ACM-04039) | 
| Additional Taxonomies | 172V00000X Community Health Worker | 
| Enumeration Date | 2023-05-22 | 
| Last Update Date | 2023-07-26 |