| NPI | 1477138451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 172V00000X Community Health Worker | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-03-11 |