| NPI | 1245461193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME108538) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL me 108538) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2014-01-03 |