| NPI | 1477372340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2025-06-04 |