| NPI | 1598399289 |
|---|---|
| Former Name | KELLY SUE LAUGHEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: ID 0) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-10-05 |