| NPI | 1275112237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: OR THW000004025) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OR THW4025) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-05-03 |