| NPI | 1760868368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA 15172) |
| Additional Taxonomies | 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant (Licence: CA 15172) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |