| NPI | 1396090114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NY 554238042) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2022-07-21 |