NPI | 1700052321 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 244170) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: NY 244170) |
Enumeration Date | 2008-05-03 |
Last Update Date | 2021-02-04 |