NPI | 1740611011 |
---|---|
Former Name | BEVERLY LEARMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2013-12-11 |
Last Update Date | 2018-08-02 |