| NPI | 1356724207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: TX 113881) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TX 113881) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2016-08-24 |