| 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 |