| NPI | 1740516871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: UT 7209192-2401) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA 22665) |
| Enumeration Date | 2009-10-24 |
| Last Update Date | 2009-10-24 |