| NPI | 1457844656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835N1003X Pharmacist, Nutrition Support (Licence: TX 21955) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |