| NPI | 1124376298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR A4730) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2019-03-21 |