| NPI | 1720582174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 246RP1900X Technician, Pathology, Phlebotomy (Licence: TN L8F6G9P2) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2023-07-19 |