| NPI | 1578992749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172A00000X Driver | |
| 305S00000X Point of Service | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2026-04-29 |