| NPI | 1982849543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: WI 25320-020) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: IL 036.119429) |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2008-12-11 |