| NPI | 1467809186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: AK 15-1352-III) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: AK 15-1352-II) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-10-20 |