| NPI | 1528776549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: NC 445869) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: H4S8J7Q4) |
| 246RP1900X Technician, Pathology, Phlebotomy (Licence: J9H4M9M9) | |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2025-07-26 |