| NPI | 1346525003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: AK 100905) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: AK 955259) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |