NPI | 1417187964 |
---|---|
Former Name | HAZEL M ANTONIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2009-07-17 |
Last Update Date | 2025-05-05 |