| NPI | 1174079818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: NC 130710) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2024-07-30 |