| NPI | 1255563532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: FL 688446696) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: 688446698) |
| 172V00000X Community Health Worker (Licence: FL 688446679) | |
| 172V00000X Community Health Worker (Licence: FL 6889980300) | |
| 172V00000X Community Health Worker (Licence: FL 688446604) | |
| 172V00000X Community Health Worker (Licence: FL 689980301) | |
| 172V00000X Community Health Worker (Licence: FL 689980302) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2011-03-18 |