| NPI | 1124889407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MO 17265) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MO 2021003337) |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |