| NPI | 1932960747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA 171MOOOOOX) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-03-25 |