| NPI | 1548084767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA 172V000000X) |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-12-03 |