NPI | 1578073664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2017-10-03 |
Last Update Date | 2020-10-05 |