| NPI | 1427509173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MD PRO706) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: MD 01245-23-A) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2026-01-09 |