| NPI | 1366906208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NY 172V00000X) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |