| NPI | 1518215771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MI 4704302096) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2021-08-23 |