| NPI | 1073120606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: UT 33951) |
| Additional Taxonomies | 133VN1101X Dietitian, Registered Nutrition, Gerontological |
| 133NN1002X Nutritionist Nutrition, Education (Licence: UT 33951) | |
| 171M00000X Case Manager/Care Coordinator (Licence: UT 33951) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |