| NPI | 1679739445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MA 08228) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2014-10-08 |