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 |