| NPI | 1366039588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171W00000X Contractor |
| 174H00000X Health Educator | |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2020-12-22 |