NPI | 1083030613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174H00000X Health Educator (Licence: GA 213224) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
171W00000X Contractor | |
172A00000X Driver (Licence: GA 052632410) | |
172V00000X Community Health Worker | |
1744R1102X Specialist, Research Study | |
Enumeration Date | 2014-03-06 |
Last Update Date | 2014-03-06 |