| NPI | 1184314205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MO 15658) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MO 2019001937) |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-05-11 |