NPI | 1952479396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA A117401) |
Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2006-12-02 |
Last Update Date | 2015-06-15 |