| NPI | 1205648698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NV CHW1-5990) |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: NV W7T4P5H5) |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |