| NPI | 1538833587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27036491A) |
| 171W00000X Contractor | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-08-03 |