| NPI | 1306946405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NM 282) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-11-26 |