| NPI | 1396521241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NV 207Q00000X) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-07 |