| NPI | 1710006853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WA GC60121218) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-01-06 |