| NPI | 1538437975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OH PTA-4225) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL PTA-32055) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2023-03-22 |