| NPI | 1972167112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 965670) |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2023-11-27 |