| NPI | 1265265581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MO 17294) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MO 2018012435) |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |