| NPI | 1831595602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MA S19037024) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-10 |