| NPI | 1396072153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: WI D120-8777-7955-01) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications (Licence: WI D120-8777-7955-01) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2009-11-14 |
| Last Update Date | 2009-11-14 |