| NPI | 1528337490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: KY R3428) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: IN 31002797A) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |