| NPI | 1992933261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: FL 693234796) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL 693234798) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |