| NPI | 1164190757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 246QB0000X Spec/Tech, Pathology, Blood Banking |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |