| NPI | 1033645916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OR THW1733) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OR 17-CRM-012) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |