| NPI | 1629378948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: FL 688942598) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL 688942596) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |