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 |