| NPI | 1508109901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A133215) |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| 171M00000X Case Manager/Care Coordinator | |
| 332U00000X Home Delivered Meals | |
| 385H00000X Respite Care | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2021-12-27 |