| NPI | 1356988596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2304984) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2023-06-27 |