| NPI | 1710566484 |
|---|---|
| Former Name | ROXAN JUNA LEE SIMON UMAYAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: HI 79319) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-07 |