| NPI | 1750700159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OR 507204) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR 507204) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |