| NPI | 1811336191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA OTA 1065) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA NBCOT 1038550) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |