| NPI | 1053077156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NJ 123) |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2023-03-27 |