| NPI | 1932511342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CO 0001017) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CO OT.0001017) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |