| 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 |