| NPI | 1417199498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA PT005067) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: GA PT005067) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2011-02-07 |