NPI | 1538356720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: FL MA67407) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL 692013696) |
Enumeration Date | 2007-10-02 |
Last Update Date | 2015-10-28 |