| NPI | 1841570660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: RI OTA00300) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: MA 3057) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |