| NPI | 1669242004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 174400000X Specialist | |
| 246Y00000X Spec/Tech, Health Info | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |