| NPI | 1679734081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: AR 167719783) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |