NPI | 1871277590 |
---|---|
Former Name | ELIZABETH PORTEOUS WITHERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OH 2871101) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.2403992-TRNE) |
Enumeration Date | 2023-06-13 |
Last Update Date | 2024-12-18 |