| NPI | 1578370227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MO 18953) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MO 2002030725) |
| 183700000X Pharmacy Technician (Licence: MO 2006037454) | |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |