| NPI | 1487029591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MI 54239862) |
| Additional Taxonomies | 132700000X Dietary Manager (Licence: MI 54239862) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |