| NPI | 1730652777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 302R00000X Health Maintenance Organization (Licence: LA 5559) | |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2021-06-21 |