| NPI | 1235387861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: FL 681118396) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL 681118398) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-10-11 |