| NPI | 1053053819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OR THW000003682) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-04-12 |