| NPI | 1134758832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NC 1167) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 164W00000X Licensed Practical Nurse (Licence: NC 80971) | |
| 164W00000X Licensed Practical Nurse (Licence: MI 4703079972) | |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2024-03-26 |