| NPI | 1972887032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: PA OC010151) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NJ 46TR00558500) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |