| NPI | 1346790409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: ID PT-3655) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NC P12822) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |