| NPI | 1922455823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: DC HHA11944) |
| Additional Taxonomies | 171W00000X Contractor (Licence: DC HHA11944) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |