| NPI | 1053028027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MO 15203) |
| Additional Taxonomies | 183700000X Pharmacy Technician |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |