| NPI | 1770759367 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 172V00000X Community Health Worker | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2008-05-02 | 
| Last Update Date | 2016-05-17 |