| NPI | 1164069662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NM G-1676) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2025-05-19 |