| NPI | 1982314720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MD LP53115) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2024-01-22 |