| NPI | 1811760044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2025-10-09 |