| NPI | 1568125508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MI 15216) |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2021-10-18 |