| NPI | 1437388758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: LA OTT.Z11827) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA OTT.Z11827) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |