| NPI | 1558871632 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 11349-R) | 
| Enumeration Date | 2017-10-03 | 
| Last Update Date | 2021-04-13 |