| NPI | 1306318191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA 172V00000X) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |