| NPI | 1235702424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: VA 0734000435) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 163W00000X Registered Nurse (Licence: VA 0001174798) | |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-07-23 |