| NPI | 1881204022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: LA 2-0160813) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |