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 |