NPI | 1194010322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker (Licence: IN 10-012345-1) |
Additional Taxonomies | 171WH0202X Contractor, Home Modifications (Licence: IN 10-012343-1) |
Enumeration Date | 2011-06-15 |
Last Update Date | 2011-06-15 |