| NPI | 1427671643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL CNA407368) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL CNA407368) |
| 172V00000X Community Health Worker (Licence: FL CNA407368) | |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: FL 10D2181154) | |
| 291U00000X Clinical Medical Laboratory (Licence: FL 10D2181154) | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2026-04-23 |