| NPI | 1497189021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA 171M00000X) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2016-01-04 |