NPI | 1679962971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker (Licence: FL 25770971) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: OH 0091132) |
Enumeration Date | 2015-01-10 |
Last Update Date | 2015-01-10 |