| NPI | 1194055806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 174H00000X Health Educator | |
| 172A00000X Driver | |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2010-01-07 |