NPI | 1356588123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172A00000X Driver (Licence: CA CA #0367076) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA CA# 0367076) |
Enumeration Date | 2009-01-14 |
Last Update Date | 2009-01-14 |