| NPI | 1205444056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA R1381730320) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2021-08-05 |