| NPI | 1043028806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NM SWB-2024-1005) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2025-01-09 |