| NPI | 1003699703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: VA 0002075967) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0002075967) |
| 172V00000X Community Health Worker (Licence: VA 0002075967) | |
| 174H00000X Health Educator (Licence: VA 0002075967) | |
| 106S00000X Behavior Technician (Licence: VA 0002075967) | |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |