| NPI | 1578155917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-177923) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |