| NPI | 1942453295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A157632) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2020-11-18 |