| NPI | 1821519786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA 1538544390) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-07-21 |