| NPI | 1578012316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| 305S00000X Point of Service | |
| 172V00000X Community Health Worker | |
| 246RP1900X Technician, Pathology Phlebotomy | |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2024-04-03 |