| NPI | 1336450436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: CA PT 7143) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA PT 7143) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |