| NPI | 1497138705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: NJ 0) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 1744R1102X Specialist, Research Study (Licence: NJ 25033051) | |
| 174H00000X Health Educator | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2021-01-09 |