| NPI | 1558956615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA 694963) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 694963) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2023-06-15 |