| NPI | 1952857955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: KS 24-01109) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: MO 2014028845) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |