| NPI | 1972077873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 174H00000X Health Educator |
| 347C00000X Private Vehicle | |
| 374J00000X Doula | |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |