| NPI | 1942483185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA AE-C 1122) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA CHES 10150) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |