| NPI | 1407166168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OK 37V479361005) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OK 3707936108020) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |