| NPI | 1306384151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: AK 15-1373-P) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2024-03-25 |