| NPI | 1295107084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NC NC LMBT 6127) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NC 6127) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |