| NPI | 1104689579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VT 097.0135470) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: VT 097.0135470) |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2025-12-01 |