| NPI | 1659912657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 181732) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2021-03-15 |